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Interleukin-6: An Important Mediator of Allograft Injury
- Source :
- Transplantation. 104(12)
- Publication Year :
- 2020
-
Abstract
- Interleukin 6 (IL-6) is a cytokine with critical innate and adaptive immunity functions. It's diverse immunologic and physiologic actions include direction of immune cell differentiation, initial response to invading pathogens and ischemic injury, sustained plasma cell growth, and immunoglobulin production. IL-6 transcriptional dysregulation is commonly seen in patients with autoimmune or inflammatory disorders. Emerging information suggests IL-6 transcription is upregulated in patients with kidney and heart transplant rejection and may account for perpetuation of inflammatory responses in the allograft, leading to allograft rejection and vasculopathy. IL-6 directed therapeutics include monoclonal antibodies directed at IL-6, the IL-6 receptor (IL-6R) and Janus Kinase (JAK) inhibitors. IL-6 mediated signaling to cell targets is unique, involving classic signaling (IL-6->IL-6R) cell membrane receptors, trans signaling (IL-6->soluble IL-6R->gp130) which activates any cell, and the recently discovered IL-6/IL-6R transpresentation where antigen presenting cells (APC) synthesize and express IL-6/IL-6R complexes which are transported through the cell membrane subsequently interacting with gp130 to costimulate T-cells. Currently, there are new trials in autoimmunity and heart and kidney transplantation to determine effectiveness of inhibiting IL-6/IL-6R to ameliorate chronic allograft rejection and coronary allograft vasculopathy. Therapeutic trials aimed at prevention of ischemia/reperfusion injury (IRI) to allografts based on animal data should be considered.
- Subjects :
- Graft Rejection
medicine.medical_treatment
Anti-Inflammatory Agents
030230 surgery
03 medical and health sciences
Animal data
0302 clinical medicine
medicine
Animals
Humans
Interleukin 6
Antigen-presenting cell
Inflammation
Transplantation
biology
business.industry
Interleukin-6
medicine.disease
Glycoprotein 130
Acquired immune system
Kidney Transplantation
Receptors, Interleukin-6
Cytokine
Treatment Outcome
Reperfusion Injury
Immunology
biology.protein
Heart Transplantation
030211 gastroenterology & hepatology
business
Janus kinase
Reperfusion injury
Immunosuppressive Agents
Signal Transduction
Subjects
Details
- ISSN :
- 15346080
- Volume :
- 104
- Issue :
- 12
- Database :
- OpenAIRE
- Journal :
- Transplantation
- Accession number :
- edsair.doi.dedup.....01231d4a6012ec98cd9ba9fef09fac6c